Active NPI
Affinity Healthcare, LLC
- Primary Care Nurse Practitioner
- Yukon, OK
National Provider Identifier
1710645478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- AFFINITY HEALTHCARE, LLC
- Practice address
- 736 S Mustang Rd
Yukon, OK 73099-6777 - Phone
- (405) 410-5675
- NPI assigned
- Nov 30, 2021
- Last updated
- Nov 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Misty Dawn Dean, APRN
- Title
- Owner/Sole Member
- Phone
- (405) 410-5675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
736 S Mustang Rd
Yukon, OK 73099-6777
Mailing address
4401 SE 37TH St
Norman, OK 73071-8138
Phone (405) 410-5675
National Provider Directory
National Provider DirectoryLocations
736 S Mustang Rd
Yukon, OK 73099
Phone (405) 410-5675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1710645478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 SE 37TH ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730718138",
"telephone_number": "405-410-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 S MUSTANG RD",
"city": "YUKON",
"state": "OK",
"postal_code": "730996777",
"telephone_number": "405-410-5675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "MISTY",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER/SOLE MEMBER",
"authorized_official_telephone_number": "405-410-5675",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.